such as education. because they don't have the flexibility to prove their existing medicaid programs. in other words, get rid of people that are on the rolls that shouldn't be there. that maybe two or three years ago -- these people were ebl eligible. now they are making $75,000 and frozen on the program. would you please explain to the panel how these provisions increase cost to both the state and the federal government and actually hamper patient outcome? >> i would say that the maintenance of the takes a tool off out of the toolbox that states have to work the budget within the mean and budget to provide the care to what they feel are the most vulnerable and most needy. again, getting back to the flexibility for the states, i think the closer the policy makers are to what is going on on the ground at the state level, the better our suited in deciding who should get the care, where the adaptation can be. where we can scale back or policy should be? >> i'm thinking if they didn't have the paint then of